Public health refers to social, cultural, economic, and geographic conditions that affect a population's well-being. To assist local, national, and international health agencies and organizations, RAND conducts research on public health issues including disaster preparedness and recovery; surveillance, prevention, and management of infectious disease outbreaks; screening for and prevention of chronic diseases; and ways to strengthen the public health infrastructure.
Commentary
It is likely that communities with low rates of non-urgent ED use not only have better access to primary care, but patients who are educated about appropriate care seeking and convenient alternatives for acute care, writes Lori Uscher-Pines.
Commentary
Three mass-casualty events occurring in three very different settings show that disaster preparedness should not be limited to large cities or “target” areas in the United States. One trait that is common to all such events is the need for coordinated, responsive trauma care for victims.
Report
Emergency departments account for a rising proportion of hospital admissions and serve increasingly as an advanced diagnostic center for primary care physicians. While often targeted as the most expensive place to get medical care, emergency rooms remain an important safety net for Americans who cannot get care elsewhere.
News Release
Hospital emergency departments play a growing role in the U.S. health care system, accounting for a rising proportion of hospital admissions and serving increasingly as an advanced diagnostic center for primary care physicians.
Research Brief
This brief summarizes a RAND analysis of the role of that hospital emergency departments may come to play in either contributing to or reducing the rising costs of health care.
Commentary
Having dealt with outbreaks of H5N1 bird flu and other communicable diseases like Severe Acute Respiratory Syndrome (SARS) in 2003 and H1N1 swine flu in 2009, health officials are now far better prepared to detect new diseases early and react quickly to monitor and contain their spread.
Report
Assesses to what extent the Council to Improve Foodborne Outbreak Response's Guidelines and associated Toolkit are reaching their intended users and achieving their intended goals.
Commentary
Better understanding of how malaria reduction affects different households, regions, and economic sectors in Sub-Saharan Africa could allow policymakers to assess alternative intervention strategies and allocate resources more efficiently and effectively.
Commentary
Although official after-action reports are still being compiled, it looks like Boston's first responders and hospitals delivered under difficult circumstances, writes Arthur Kellermann.
Journal Article
Merchants who hold more pro-enforcement attitudes engage in more responsible beverage service training practices, which in turn is associated with greater enforcement of underage drinking. These attitudes are potential targets of prevention efforts.
Journal Article
In the age of austerity, Fire and Rescue Services (FRS) provision is now the focus of policymakers' efficiency drives.
Commentary
An ample body of evidence indicates that the benefits of keeping a gun for protection are substantially outweighed by the associated risks, writes Art Kellermann.
Blog
If a medical treatment worked only a fraction of the time and resulted in bad outcomes more often than not, practitioners would not make this treatment the default approach. Yet that is exactly what has happened when it comes to CPR for individuals 85 years and older who suffer cardiac arrest in a community setting.
Commentary
In this fiscally uncertain climate, we should continue to leverage the dual-use benefit of bioterrorism investments by building and maintaining those routine (but essential) public health capabilities that can also be used in response to a variety of public health emergencies.
Journal Article
The presence of food outlets near home is not associated with dietary intake or BMI. In general, shopping patterns are weakly related, if at all, to neighborhoods, perhaps because of easy access to cars.
Journal Article
The aim of this commentary is to discuss both the challenges and the rewards of engaging a public that wants to weigh evidence prior to taking action in an emergency, rather than defer to expert judgment.
Journal Article
Recent debate about the role of food deserts in the United States has prompted discussion on policies being enacted, including efforts that encourage the placement of full-service supermarkets into food deserts.
Commentary
Further study, including primary data collection in regions where extraction is occurring, will be important to track the magnitude of emissions and to insure that the DEP's permit requirements are adequate to protect human health and the environment, writes Aimee Curtright.
Commentary
People who consume just one or two sugar-sweetened drinks a day have a 26 percent greater risk of developing type 2 diabetes than people who rarely drink these beverages, write Kristin Van Busum and Lauren Hunter.
Journal Article
Declines in self-reported sleep quotas with globalizing lifestyle changes have focused attention on their possible role in rising global health problems such as obesity or depression.